| NPI | 1003324336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 5306) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: NC 5306) |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2019-01-10 |